預(yù)防性護(hù)理降低老年呼吸衰竭機(jī)械通氣患者VAP發(fā)生率的效果觀察

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【摘要】目的：探析在老年呼吸衰竭機(jī)械通氣患者中應(yīng)用預(yù)防性護(hù)理對(duì)降低呼吸機(jī)相關(guān)性肺炎（VAP）發(fā)生率的效果。方法：將102例老年呼吸衰竭患者進(jìn)行分組，分別實(shí)施常規(guī)護(hù)理與預(yù)防性護(hù)理。結(jié)果：研究組VAP發(fā)生率低于對(duì)照組，機(jī)械通氣時(shí)間及住院時(shí)間均短于對(duì)照組，護(hù)理后，臨床體征指標(biāo)、血?dú)庵笜?biāo)、肺功能指標(biāo)優(yōu)于對(duì)照組（P

【關(guān)鍵詞】預(yù)防性護(hù)理；老年呼吸衰竭；機(jī)械通氣；VAP；血?dú)夥治?；肺功?/p>

Effect of preventive nursing on reducing the incidence of VAP in elderly patients with respiratory failure undergoing mechanical ventilation

WANG Yingli

The Fourth People’s Hospital， Jinzhou District， Dalian， Liaoning， Dalian， Liaoning 116100， China

【Abstract】Objective： To explore the effect of preventive nursing on reducing the incidence of VAP in elderly patients with respiratory failure undergoing mechanical ventilation. Methods： 102 elderly patients with respiratory failure were divided into two groups and received routine nursing and preventive nursing respectively. Results： The incidence of VAP in the study group was lower than that in the control group，the duration of mechanical ventilation and hospitalization was shorter than that in the control group，and the clinical signs，blood gas and lung function indexes after nursing were better than those in the control group（P

【Key？Words】Preventive nursing； Senile respiratory failure； Mechanical ventilation； VAP； Blood gas analysis； Pulmonary function

呼吸衰竭屬于危急重癥，在老年人群中比較多見(jiàn)，發(fā)病時(shí)肺部氣體無(wú)法交換，導(dǎo)致呼吸困難，并伴隨血壓升高、心率加速等現(xiàn)象，一些患者還會(huì)出現(xiàn)昏迷等嚴(yán)重癥狀，嚴(yán)重威脅患者的健康及安全[1]。（剩余3386字）